Avir at Tierra Este (El Paso, TX) has an overall rating of 1 out of 5 stars, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.03 vs. 4.1 hours per resident per day). It has no fines in the last 24 months, but it carries the lowest overall rating and recent inspection citations included care planning, accident hazards/supervision, and RN coverage/director of nursing requirements.
Last inspection: January 15, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0299.
Staffing detail
Registered nurses
0.21
Licensed practical nurses
0.95
Nurse aides
1.87
Weekend nursing
2.77
Hours per resident per day.
Total staff turnover: 60%
Registered nurse turnover: 100%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
27.1%26.8%No change
Residents with a fall causing major injury
0%3.4%Worsening
Residents with pressure ulcers (bedsores)
11.3%6.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.9%10.3%Improving
Residents whose ability to walk got worse
11.3%7.5%Improving
Long-stay residents on antianxiety or sleep medication
28.6%26.7%Improving
Short-stay residents newly given an antipsychotic
6.7%2.6%Improving
Residents with a long-term catheter
2.1%0%Improving
Residents with new or worsening incontinence
27.9%18.5%Improving
Residents with depressive symptoms
4.3%1.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—80.2%—
Long-stay residents given the pneumonia vaccine
91.2%90.8%No change
Short-stay residents given the seasonal flu vaccine
—89.6%—
Short-stay residents given the pneumonia vaccine
93.3%47.7%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 7 fines · $31,752 in total fines.
Federal fine
Feb 20, 2024
$4,178
Federal fine
Feb 12, 2024
$3,798
Federal fine
Jan 22, 2024
$9,116
Federal fine
Jan 8, 2024
$2,279
Federal fine
Jan 2, 2024
$1,764
Federal fine
Dec 11, 2023
$3,174
Federal fine
Nov 9, 2023
$7,443
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
100.3 residents on an average day (84% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 3 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.